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HomeMy WebLinkAboutPermit Fire Damage Report 2000-02-08.t u-l.b h,9 ->Br4 I FIRE DAI4AGE REPORT OR ELECTRICAL HAZARD J t0 0 0 DATE: 2- 8'OO Address or location of buiiding arsl -Thun.lo^ Rd TO: FROM: SUBJECT: Name of or^,ner q\) \ Type of buflding \ Estimated value of bujlding Estimated loss to building Building Department Springfield Fire Department Structural Damage to Building o\b ,^.1 - \\ f (Dwe11ing,Store, [^Ja o ooo $ Lo csoO , etc. Dateoffire 2'9-O O Location of dannge in build'ing nn, \ (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire fty .--t\S (Lrl(- (Burned rafters, Beams, Joists, etc. ) Additional pertinent information Electrical Hazard \ (l,li ri nq, Outl ets , etc. ) CC 5- S i qned OTET@ I EIRE E$nnarcrirc ll I tlMotilePno,pcrtyFire OElirc h lttubilc Propcrty O Ffue Itr N!firal UscdAsAStrnctrc Vcgciatioa O Firclaldobilc Propcrty O Firc h Cultivaicd' trnAStructre O Other OutsideFire WithValrc OTrasfiFirc O O&crFirc, Erylosio Firc e vrc q__ ,lr, 3 rA ad { ocouPlt(I Fir4I4:) .CDDRESS V.lc(c phvcsdeec BRffi ODdicatc oEt6 b t8 L)J E V 6 BUSINESS OWNRjDDR.ESS ?3** a PROPERTTOANERADDRESS , II{CIDENTREPORTED U-1"-(C lo Gu I.2 IIPTOF OForcriblcFatry FBdDguish(vcoac APPLY) OTran+ort OEr-rrtID OReaOqcTTe*rd o ODcconArea Oscarch ODccoPcoplclEquip O Staodby OM@it6E-m< OlrioYeUp OProvidePosonnd SafeArca OEvacuatc cot!{tr L ane DAIE-ec)AI-1 &alfr2-1 Oqvcftcat BRcscueCall OCroodht€utCall OServiccCall OEIdS Call OEsratltrcidcfit OFslscCill-Meliciqs OlllcgalBurn ONondreDamage OFslscCall-Ilnfutcdioal OlealBua Rceort G,{ARKAIJLIHAT lvralfimction 1?troTP g,oz Z'NE I DOB Tttn - 7 3lJ C,LEHONE TEI.:EIIONE DP DOB IEXXPEONE DP DOB IEL;EZETONE DP (OFENGINES RESPTONDIIYG+o1 OF AEBIAL.I'PP,I,R.A:TIIS RESFONDING {OFOTEERFIRTARVICE*3 II{UrII^LlIDO GtrIlEN O REEN{ED ALLEIRES IJ gSdf&dinguisb.d Ol&&c$if"Ails OFrbblc 5ru t6 O A"tooAic BCiryuistitg S5rrficol O ltrdcrcauicd On Initial apparms B U/e nrrrn' TimHlcader shrffie O Grmd Crenn WEquip.Arxd/Or Air Suppct f",d"r. r\ OTEIRTORTCIN I tr.ACTOR EEAT()FIG${I[ON O ISTELOFEIREORTCN I , ESTIT'{ATE)ross - do*o.L t OCrycsscdAirFm 0 ClsssBFm/AEftrOChssAE:din& E ClEss ONoocO CX8ss AIBIC Eding: O Og2 OCtassD W/Wafcr @uFr.q t + I(OITLEIROPRff IIIVOLlIED ..(eplacEEIO I'(AKE strt[rErdoDEL w SERTAL ffAIRCRAFT IAIL I IICEI{SBT DQI'IPMENUI{VOLVEI' D{IGNIIIC'N (Oo6pLicLftEE) i YEAR .faocp O O rarOr*t foro O0 AscI I frvq:ilc-(Oo@ac inuilc O rdFrreFco) M! 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O ff"- ao<iOa (Mu!i6mr Sruarc) O Snrctrrc ctrOrigio zt Icc) 25 O lrdar.dWoodsbinelc O N-".a n*f Colrsiog ( Cagrr's' Pb<ic' Ho( Trr ) O $ruarcrrithoutRoof, OR ofNdcLsscdAbotrcOHcrrSrTrn$cr(qetfD OFrucctdwoodFrloc (tlPcv I k) WoodFreoc(tPcVN; O &S+Pocca$ilaT O qpaPlrffodn O &acrgrooastu't'rc O f:/Pcofstru6l No(ChsscdAbow 2043-roG-95) nrmrs: '_.:r."r'':.' :i :. ' NIIi{lIEr(oL' IfORIES (l{oa,io.tudbSD{-*t) 1 br)ORotoaar TloodI(GJeclr) 1 br) ltpcmN) ooI2 .DOlIOrWEr[\rErrss cE61186.10. -'.. ': ErPt(L SIAfE OEETCE OI. SifAIE EIRE trfiARSEAL . trr@EorirsPoRr BNcwlnci<tct 2 E(FGUEBTIO. 0'{b,) to LaneGOI'T\TT DEEI. I AI.4BMDATE I2-9-oo I AIIRI'(TIME I &t2-I, rxpE orrrRr srruesoni5too 1orc@ I O$ructrrcFirc llll @obilek'opcrtyFirc OOth€rOrtsideFire OEirc Ia lv{obilc Prcecrty O FircIoN8trd UscdAsAStnrctrrc Vcgaatioa O Iinc lrlfdilc PsQcily O Firc In elivrfiod . 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